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60 Medical <br />Waste SWems <br />BROWNING -FERRIS INDUSTRIES 9 <br />L I 1 r 1 <br />SERVICE EENT <br />CUSTOMER NAME: JN C V CGrrM (.(/I/ T i/ / /u / �d I <br />ADD 1: l 1� �/� / rci (�� ✓ <br />® ADD 2: <br />CITY: c/ V,. C (% / STATE: CA <br />ZIP: 7 -O 1 % b P NE: (0?6 7) <br />CONTACT: Lot I J mlya ✓ e L <br />TITLE: <br />SERVICE BEGINS ON: / / SERVICE SCHEDULE: <br />CONTAINERS: QUANTITY: <br />RATES: #6 - cc) <br />EXISTING WASTE: <br />I, <br />I* S 0044331 <br />CUSTOMER NAME: <br />ADD 1: <br />ii <br />CITY: <br />PURCHASE ORDER # <br />STATE: <br />ZIP: PHONE: ( ) <br />cot ilk 1 <br />TITLE: i /L ( '/ a_� ear„/ 1L <br />DAY(S) PER WEEK; EVERY <br />-7�d c ifemo <br />START-UP FEE: <br />tnv <br />WEEK(S). <br />qnd <br />MONTHLY STORAGE SHED RENTAL: MONTHLY TUB RENTAL: <br />UNSCHEDULED PICK-UP: SA"ne SERVICE HOURS: Tion ' �✓` � � � �`y� <br />SPECIAL INSTRUCTIONS: ®,Pe -n <br />Date of Agreement: /,_� / / 2 <br />NEW RENEWAL ADDITIONAL SITE <br />1 2 3 <br />TERMS AND CONDITIONS <br />BY SIGNING IN THE SPACE PROVIDED BELOW, THE CUSTOMER ACKNOWLEDGES HAVING READ AND THAT CUSTOMER IS BOUND BY THE TERMS AND CONDITIONS <br />ABOVE AND BELOVIhON THIS PAGE AND CONTINUING ON THE REVERSE SIDE OF THIS PAGE. <br />"CONTRACTOR" <br />A OPER NG BROWNI -F RIS IND STRIES SUBSIDIARY) <br />BY (SIGNATUFIJt): <br />NAME: C C it r <br />TITLE: LC G Leif �9 oG� ✓e <br />ARTICLE I <br />DISPOSAL SERVICES <br />Customer shall provide to Contractor and Contractor shall collect and remove from Customer's premises, treat and/or dispose of all 3iomedical Waste" generated by Customer in accordance with the terms of this Agreement. <br />The term "Biomedical Waste", as used herein, shall include only those wastes (i) defined by the United States Environmental Protemon Agency (USEPA) as infectious wastes in its Guide for Infectious Waste Management, <br />#EPA/530-SW-86-014, May 1986, and any other wastes identified as infectious or similar wastes in any other applicable federal. state. county or municipal laws. regulations and guidelines, and (ii) "Chemotherapy Waste" <br />(also known as antineoplastic or cytotoxic waste). The term "Chemotherapy Waste", as used herein, means discarded items which nave been contaminated by chemotherapeutic drugs or antineoplastic agents, provided <br />that such items, including vials and syringes, shall be empty or contain only such trace amounts of chemotherapeutic drugs as are allowable under applicable federal, state, county or municipal laws, regulations and <br />guidelines so as to be considered waste. The term Biomedical Waste specifically excludes a) human torsos. b) corrosive, reactive. adioactive, toxic (except toxic material or waste listed as an antineoplastic agent in <br />Section 10.00 of the American Hospital Formulary Service published by the American Society of Hospital Pharmacists), and other hazardous wastes and substances as defined in any applicable federal, state, county <br />or municipal laws, regulations and guidelines. <br />Customer is solely responsible for properly and lawfully packaging, labeling, and storing Biomedical Waste. Customer shall store Biomedical Waste in containers supplied or approved by Contractor. Customer agrees that <br />all containers supplied to Customer by Contractor, shall be collected and disposed of only by Contractor or its designated representatives. The storage of Biomedical Waste shall be confined to an area on Customer's <br />premises to which only authorized personnel shall have access. <br />Contractor reserves the right to decline to accept for collection, transportation, treatment and/or disposal any Biomedical Waste which. in Contractor's judgment. it cannot transport, treat or dispose of in a lawful manner <br />or without a risk of harm to public health or the environment. Improperly packaged, leaking, overweight or damaged containers are subject to rejection or to the off -specification charges for repackaging and/or special <br />handling. No containers will be picked up that are wet or leaking. <br />ARTICLE II - TITLE <br />Title to Biomedical Waste collected from Customer shall be transferred to and vested in Contractor at the same time that the Biomedical Waste is fully loaded into Contractor's truck. Prior thereto, all title to the Biomedical <br />Waste shall be in Customer. Title to any waste other than Biomedical Waste shall remain with Customer. <br />ARTICLE III - SERVICES AND RATES <br />Contractor will provide the collection, transportation, treatment and/or disposal services enumerated above, at the rates set forth above, plus all applicable taxes, assessments, and related charges, including retroactive <br />adjustments for same. Contractor will provide all necessary equipment to perform such services and all such equipment shall comoly with all applicable federal, state, county, and municipal laws, regulations, guidelines <br />and permits. Contractor reserves the right to adjust the rates hereunder to fully cover pro rata increases in fuel, insurance and residue disposal costs, and increases in costs resulting from changes in regulatory requirements <br />or guidelines or the enforcement thereof. Contractor may adjust the rates from time to time for other reasons. but any such other adjustment, to the extent such adjustment results in a percentage increase greater <br />than the percentage increase in the local (or if none. "U.S. City Average") Consumer Price Index for Urban Consumers (all items)-.0lished by the United States Department of Labor, Bureau of Labor Statistics since <br />the date of the last such adjustment (or since the date of execution of this Agreement in the case of the first such adjustment). snail be subject to Customer's approval upon thirty (30) days notice from Contractor <br />prior to the effective date of the adjustment. <br />THE TERMS AND CONDITIONS CONTINUE ON THE REVERSE SIDE OF THIS PAGE <br />12/90 BFIMC-475MWS <br />ORIGINAL <br />